197610255-3-16-2026-31-AS-TAGD-DSXMEX-20260408093328

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610255
Report Date: 03/16/2026
Date Signed: 03/16/2026 10:09:54 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/08/2026 and conducted by Evaluator Gina Saucedo

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20260208113715

FACILITY NAME:	AMAZING SENIOR CARE ON LASSEN, INC.		FACILITY NUMBER:	197610255
ADMINISTRATOR:	ALADADYAN, YELENA		FACILITY TYPE:	740
ADDRESS:	17127 LASSEN ST		TELEPHONE:	(818) 207-4220
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91325
CAPACITY:	6	CENSUS: 6	DATE:	03/16/2026
		UNANNOUNCED	TIME BEGAN:	09:27 AM
MET WITH:	Yelena Aladadyan, Administrator		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Staff neglect resulted in resident sustaining multiple pressure injuries

INVESTIGATION FINDINGS:

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On 03/16/26, at 9:27am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Administrator, Yelena Aladadyan. LPA explained the purpose of this visit was to gather additional information and deliver findings for this complaint.

On 02/09/26, the above complaint was referred to the Investigations Branch (IB) but was returned to the Regional Office (RO) on 02/09/26 for investigation. On 02/10/26, LPA Saucedo conducted an initial complaint and asked for the census, staff, and resident rosters. On 02/10/26, LPA Saucedo interviewed staff, received documents and conducted a physical plant tour. On 02/10/26, LPA attempted to interview two (2) residents to no avail.

LIC 9099C-continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20260208113715

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: AMAZING SENIOR CARE ON LASSEN, INC.	FACILITY NUMBER: 197610255
	VISIT DATE: 03/16/2026

NARRATIVE

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Regarding the allegation: Staff neglect resulted in resident sustaining multiple pressure injuries. It is being alleged that resident #1 (R1) was neglected by staff at the facility and developed several wounds. LPA interviewed two (2) staff that confirmed R1 was receiving wound care from Star World Home Health. Staff #1 (S1) confirmed that R1 was receiving home health services two (2) -three (3) times a week and home health never informed S1 that the wounds were not getting better. LPA also interviewed two (2) staff at Star World Home Health that confirmed R1 was previously receiving wound care from Grand Valley Health Care Rehabilitation Center. LPA requested notes from Star World Home Health that noted R1 had a left and right pressure injury and R1 also had a stage 3 wound on their sacrum. When LPA interviewed both Home Health staff, they both stated, “that R1 appeared to have a stage 2 on their sacrum but the notes confirmed Home Health marked the wound as a stage 3. LPA requested medical records from Kaiser Permanente where it confirms that on 09/02/25, R1 had gone for emergency services and was referred to a Skilled Nursing Facility (SNF) for wound care on the sacrum and right and left heels, physical therapy and occupational therapy. R1 did not get admitted to the above facility until 12/02/25. R1 was then taken to the hospital on 02/02/26 where the medical records from Kaiser Permanente noted the same wounds as of 09/02/25, wound to the sacrum area and right and left heel. LPA also interviewed R1’s daughter and R1’s daughter stated, R1 did not get admitted to the above facility until 12/02/25. R1 was then taken to the hospital on 02/02/26 where the medical records from Kaiser Permanente noted the same wounds as of 09/02/25, wound to the sacrum area and right and left heel. LPA also interviewed R1’s daughter and R1’s daughter stated, “I have no concerns with the facility and/or the staff. My concern is with the Home Health that provided care for R1 because they were not really communicating with us. They should have told us that the wounds were not getting any better or were remaining the same so R1 could have been sent back to the Skilled Nursing Facility.” Based on the LPA's medical record review, home health notes, file review and interviews conducted, the allegation(s) for physical abuse is UNSUBSTANTIATED at this time.

An exit interview was conducted, no citation(s) issued, and a copy of this report was given to the Administrator.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026

LIC9099 (FAS) - (06/04)

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